Individual provider Active NPI

Deondra Monique Carr, PHD, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tylertown, MS
National Provider Identifier
1174295661
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
905334 Issued in MS
Practice address
95 Need Yarborough Rd
Tylertown, MS 39667-5922
Phone
(601) 502-4187
NPI assigned
Oct 2, 2021
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 905334 MS Primary

Addresses

Primary practice location

95 Need Yarborough Rd
Tylertown, MS 39667-5922

Mailing address

95 Need Yarborough Rd
Tylertown, MS 39667-5922
Phone (601) 502-4187

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Tylertown Health Information Exchange (HIE)
CONNECT URL Tylertown Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
886194MSMDSchool Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1174295661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 NEED YARBOROUGH RD",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396675922",
            "telephone_number": "601-502-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 NEED YARBOROUGH RD",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396675922",
            "telephone_number": "601-502-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "DEONDRA",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-02",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tylertown",
            "affiliation": "N",
            "endpointDescription": "home address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "95 Need Yarborough Rd",
            "city": "Tylertown",
            "state": "MS",
            "country_code": "US",
            "postal_code": "396675922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tylertown",
            "affiliation": "N",
            "endpointDescription": "home address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "95 Need Yarborough Rd",
            "city": "Tylertown",
            "state": "MS",
            "country_code": "US",
            "postal_code": "396675922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tylertown, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.